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This page is to assist you in setting up your loved ones ride through NET state transportation. By filling out the information below we can set up the FIRST initial Standing Order. You would only need to fill this out after you have been through the admission process.

Client Name*

Client Date of Birth

Client Medicaid Number

Days of Attendance

Residence Pick Up Address

Pick Up Time From Residence

Return Pick Up Time From Center

Primary Client Contact Name

Primary Client Contact Phone Number

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Non-Emergency Transportation Start Up

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GEORGIA MEDICAL TRANSPORTATION (GMT)


1551 Jennings Mill Road

Suite 2600 A &

Bogart, GA 30622

Phone: 706-286-9610

Fax: 706-286-9615

  • FIVE STAR TRANSPORTATION

Phone: 678-886-1623

Fax: 770-728-0547

  • QUALITY TRANSPORTATION

Phone: 404-386-7877

  • VELSTAR TRANSPORTATION

Phone: 706-597-0061

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